DOI QR코드

DOI QR Code

Clinical and Genetic Features of Coxiella burnetii in a Patient with an Acute Febrile Illness in Korea

  • Lee, Seung Hun (Division of Zoonoses, Center for Immunology & Pathology, Korea National Institute of Health, Korea Centers for Disease Control & Prevention) ;
  • Heo, Jung Yeon (Division of Infectious Diseases, Department of Internal Medicine, Chungbuk National University College of Medicine) ;
  • Lee, Hae Kyung (Division of Zoonoses, Center for Immunology & Pathology, Korea National Institute of Health, Korea Centers for Disease Control & Prevention) ;
  • Lee, Yeong Seon (Division of Zoonoses, Center for Immunology & Pathology, Korea National Institute of Health, Korea Centers for Disease Control & Prevention) ;
  • Jeong, Hye Won (Division of Infectious Diseases, Department of Internal Medicine, Chungbuk National University College of Medicine) ;
  • Hwang, Seon Do (Division of Zoonoses, Center for Immunology & Pathology, Korea National Institute of Health, Korea Centers for Disease Control & Prevention)
  • Received : 2016.10.31
  • Accepted : 2017.02.25
  • Published : 2017.06.10

Abstract

Although Q fever is an important zoonotic infection with a worldwide distribution, no human isolates of Coxiella burnetii have been identified in Korea. For the first time, we identified the nucleotide sequence of C. burnetii from a 32-year-old man with an acute febrile illness in Korea. Diagnosis of acute Q fever was confirmed by seroconversion using indirect immunofluorescence antibody assays. Phylogenetic analysis demonstrated high sequence similarity (99.6%-100%) with C. burnetii 16S rRNA sequences identified from the reservoir. These results are the first genetic analysis of C. burnetii in a human case of Q fever in Korea.

Keywords

Acknowledgement

Supported by : Chungbuk National University, Korea National Institute of Health

References

  1. Maurin M, Raoult D. Q fever. Clin Microbiol Rev 1999; 12: 518-53. https://doi.org/10.1128/CMR.12.4.518
  2. Tissot-Dupont H, Raoult D. Q fever. Infect Dis Clin North Am 2008; 22: 505-14. https://doi.org/10.1016/j.idc.2008.03.002
  3. Anderson A, Bijlmer H, Fournier PE, Graves S, Hartzell J, Kersh GJ, Limonard G, Marrie TJ, Massung RF, McQuiston JH, et al. Diagnosis and management of Q fever--United States, 2013: recommendations from CDC and the Q Fever Working Group. MMWR Recomm Rep 2013; 62: 1-30.
  4. Kim JY, Sung SR, Pyun JI, Her M, Kang SI, Lee HK, Jung SC. Seroprevalence of Q-fever in Korean native cattle. Korean J Vet Res 2014; 54: 147-50. https://doi.org/10.14405/kjvr.2014.54.3.147
  5. Kim WJ, Hahn TW, Kim DY, Lee MG, Jung KS, Ogawa M, Kishimoto T, Lee ME, Lee SJ. Seroprevalence of Coxiella burnetii infection in dairy cattle and non-symptomatic people for routine health screening in Korea. J Korean Med Sci 2006; 21: 823-6. https://doi.org/10.3346/jkms.2006.21.5.823
  6. Korea Centers for Disease Control and Prevention. Disease web statistics system [Internet]. Available at http://is.cdc.go.kr/dstat/index.jsp [accessed on 1 October 2016].
  7. Duron O, Noel V, McCoy KD, Bonazzi M, Sidi-Boumedine K, Morel O, Vavre F, Zenner L, Jourdain E, Durand P, et al. The recent evolution of a maternally-inherited endosymbiont of ticks led to the emergence of the Q fever pathogen, Coxiella burnetii. PLoS Pathog 2015; 11: e1004892. https://doi.org/10.1371/journal.ppat.1004892
  8. Seo MG, Lee SH, VanBik D, Ouh IO, Yun SH, Choi E, Park YS, Lee SE, Kim JW, Cho GJ, et al. Detection and genotyping of Coxiella burnetii and Coxiella-like bacteria in horses in South Korea. PLoS One 2016; 11: e0156710. https://doi.org/10.1371/journal.pone.0156710
  9. Lee M, Jang JJ, Kim YS, Lee SO, Choi SH, Kim SH, Yu E. Clinicopathologic features of Q fever patients with acute hepatitis. Korean J Pathol 2012; 46: 10-4. https://doi.org/10.4132/KoreanJPathol.2012.46.1.10
  10. An SJ, Koo JW, Chung CY, Lee WY. A case of Q fever: person-to-person transmission. J Korean Pediatr Soc 1998; 41: 120-4.
  11. Park HS, Lee EG, Lee SY, Lyu CJ, Son YM, Kim DS, Kim KY, Lee WY. A case of Q fever: associated with pancytopenia, hepatitis, and myocarditis. Korean J Infect Dis 1992; 24: 45-54.
  12. Park JY, Lee WY, Cho SN, Park YS, Park KS, Youn HJ, Kang YB, Koh CM. Isolation and cultivation of a Coxiella burnetii strain from raw milk of dairy cows in Korea. J Korean Soc Microbiol 1993; 28: 285-93.
  13. Lee JH, Park HS, Jang WJ, Koh SE, Park TK, Kang SS, Kim BJ, Kook YH, Park KH, Lee SH. Identification of the Coxiella sp. detected from Haemaphysalis longicornis ticks in Korea. Microbiol Immunol 2004; 48: 125-30. https://doi.org/10.1111/j.1348-0421.2004.tb03498.x
  14. Moon SY, Choi YS, Park MY, Lee JA, Chung MK, Chung HS, Jung DR, Song JH, Peck KR. Two cases of Q fever endocarditis. Infect Chemother 2009; 41: 199-204. https://doi.org/10.3947/ic.2009.41.3.199
  15. Fournier PE, Raoult D. Comparison of PCR and serology assays for early diagnosis of acute Q fever. J Clin Microbiol 2003; 41: 5094-8. https://doi.org/10.1128/JCM.41.11.5094-5098.2003
  16. Karagiannis I, Schimmer B, Van Lier A, Timen A, Schneeberger P, Van Rotterdam B, De Bruin A, Wijkmans C, Rietveld A, Van Duynhoven Y. Investigation of a Q fever outbreak in a rural area of The Netherlands. Epidemiol Infect 2009; 137: 1283-94. https://doi.org/10.1017/S0950268808001908
  17. Roest HI, Ruuls RC, Tilburg JJ, Nabuurs-Franssen MH, Klaassen CH, Vellema P, van den Brom R, Dercksen D, Wouda W, Spierenburg MA, et al. Molecular epidemiology of Coxiella burnetii from ruminants in Q fever outbreak, the Netherlands. Emerg Infect Dis 2011; 17: 668-75. https://doi.org/10.3201/eid1704.101562
  18. Zhong J. Coxiella-like endosymbionts. In: Toman R, Heinzen, RA, Samuel JE, Mege JL, editors. Coxiella Burnetii: Recent Advances and New Perspectives in Research of the Q Fever Bacterium. New York, NY, Springer, 2012, p365-79.
  19. Kwak W, Chu H, Hwang S, Park JH, Hwang KJ, Gwack J, Choi YS, Youn SK, Park MY. Epidemiological characteristics of serologically confirmed Q fever cases in South Korea, 2006-2011. Osong Public Health Res Perspect 2013; 4: 34-8. https://doi.org/10.1016/j.phrp.2012.12.006
  20. Duron O, Sidi-Boumedine K, Rousset E, Moutailler S, Jourdain E. The importance of ticks in Q fever transmission: what has (and has not) been demonstrated? Trends Parasitol 2015; 31: 536-52. https://doi.org/10.1016/j.pt.2015.06.014